Uke waba nobuhlungu obukhulu besisu ngokuzumayo, futhi ngesikhathi esifanayo, waqala ukuzizwa unesicanucanu nokuhlanza? Abantu abaningi bacabanga ukuthi lokhu kuyisifo esivamile sesisu, i-gastritis, kodwa ngezinye izikhathi lokhu kungaba yinkinga nge-pancreas, okuyisitho esibaluleke kakhulu emzimbeni wethu. Ngakho-ke uma uya kudokotela ngesikhathi esinjengalesi, kunethuba elikhulu lokuthi uzokucela ukuthi uhlolwe igazi. Yilokho ukuhlolwa esizokhuluma ngakho namuhla.
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Okokuqala, ake sibone, iyini le pancreas?
Ngaphambi kokuba sixoxe ngalokhu kuhlolwa kwegazi, ake siqonde kancane ngokuthi iyini i-pancreas. Kalula nje, i-pancreas iyisitho esincane kodwa esibaluleke kakhulu esitholakala ngaphakathi esiswini sethu, ngemuva kwesisu. Inemisebenzi emibili eyinhloko.
1. Ukusiza ekugayeni ukudla: I-pancreas ikhiqiza amakhemikhali akhethekile, abizwa ngokuthi ama-enzyme, asiza ekugayeni ukudla esikudlayo, ikakhulukazi amafutha nama-carbohydrate (ama-starch), futhi awakhiphele emathunjini ethu ngemva kokudla.
2. Ukulawula amazinga kashukela egazini: Lona umzimba okhiqiza i-hormone ebaluleke kakhulu ebizwa ngokuthi i-insulin, elawula amazinga kashukela egazini lethu.
Ngakho-ke ungabona, noma ngabe kuyisitho esincane, ukuthi senza umsebenzi ongakanani emzimbeni wethu.
Ngakho-ke kuyini lokhu kuhlolwa kwegazi okuhlola i-pancreas?
Lokhu kuyinto elula kakhulu. Kuhlola ukuthi ama-pancreas akho aphilile futhi asebenza kahle yini. Sikhulume ngaphambilini ngama-pancreas akhiqiza ama-enzyme asiza ekugayeni ukudla. Ngokuvamile, la ma-enzyme kufanele abe khona ohlelweni lwethu lokugaya ukudla.
Kodwa uma kukhona umonakalo, ukutheleleka, noma ukuvuvukala kwe-pancreas, lawa ma-enzyme ayavuza angene egazini lethu. Ngakho-ke lokhu kuhlolwa kwegazi kulinganisa ukuthi angakanani lawa ma-enzyme egazini lethu. Sigxile kakhulu ezinhlotsheni ezimbili zama-enzyme lapha.
| Uhlobo lwe-enzyme | Umsebenzi Emzimbeni |
|---|---|
| I-Amylase | Kuyasiza ekugayeni ama-carbohydrate esiwadlayo (isib. ukudla okunesitashi njengelayisi, isinkwa, namazambane). |
| I-Lipase | Kuyasiza ekugayeni amafutha , ukudla okunamafutha) esikudlayo. |
Ufuna ukwenza lesi sivivinyo ngasiphi isikhathi?
Manje ungase ucabange, 'Kulungile, pho udokotela angayala lolu vivinyo luhlobo luni lwenkinga?' Ngokuvamile, uma unezimpawu ze-acute pancreatitis, okuyilokho esikubiza ngokwezokwelapha ngokuthi i-acute pancreatitis , udokotela wakho uzoncoma lolu vivinyo. Lolu vivinyo lubaluleke kakhulu ukuqinisekisa noma ukuqeda ukuba khona kwalesi simo.
Ziyini izimpawu ze-pancreatitis?
Uma unalezi zimpawu, qaphela.
- Ubuhlungu obukhulu besisu: Ikakhulukazi kusukela esiswini esingaphezulu, ngezinye izikhathi ubuhlungu buzwakala sengathi buya emhlane.
- Isicanucanu nokuhlanza: Ukuhlanza okuqhubekayo nakho kuyisibonakaliso esikhulu.
- I-Anorexia: Ukulahlekelwa yiso sonke isifiso sokudla.
- Umkhuhlane: Ukushisa komzimba kuyakhuphuka.
- Ukuhlungu obusemhlane.
Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu, kunokuhlala ekhaya ucabanga ukuthi kuyinto evamile.
Lokhu kuhlolwa kwegazi kwenziwa kanjani? Ingabe kudingeka ngilungiselele?
Lokhu akukusha kuwe. Kufana nokuhlolwa kwegazi okuvamile. Akukho okufanele ukhathazeke kakhulu ngakho noma okufanele ulungiselele kona.
Kuthathwa isampula yegazi elincane emthanjeni osengalweni yakho. Ngakho-ke uma ugqoka ihembe elinemikhono emifushane noma izingubo ezikhululekile, kuzoba lula kuwe nakumuntu othatha igazi. Ngemuva kwalokho, isampula yegazi iyahlanzwa engalweni yakho, kufakwa ibhande lerabha lizungeze ingalo engenhla bese liqiniswa, bese kusetshenziswa inaliti encane ukudonsa inani elincane legazi ebhodleleni elincane. Le nqubo ithatha cishe umzuzu noma emibili.
Ngemva kokukhishwa kwegazi, ingalo yakho ingase izwe ubuhlungu noma kuvele ibala elincane eliluhlaza okwesibhakabhaka. Lokhu kuvamile. Imiphumela emibi kakhulu (njengokulimala noma ukopha kakhulu) ayivamile. Isampula yegazi ithunyelwa elebhu ukuze ihlolwe.
Amanani ajwayelekile kanye nencazelo yezinguquko kulolu vivinyo
Uma umbiko wokuhlolwa kwegazi ubuya, udokotela uzokuchazela amanani. Kodwa ukuze uthole ulwazi, nansi amanani ajwayelekile.
| I-enzyme | Inani elimaphakathi lomuntu ophilile |
|---|---|
| I-Amylase | Amayunithi angu-23 kuya kwangu-85 ngelitha (U/L). (Kwezinye izindawo zokucwaninga lokhu kungafinyelela ku-140 U/L). |
| I-Lipase | Kusukela kumayunithi angu-0 kuya kwangu-160 ngelitha (U/L). |
Okubalulekile: Lawa manani angahluka kancane kusuka kwelinye ilabhorethri kuya kwelinye, ngakho-ke kungcono ukuwaqhathanisa 'neNormal Range' embikweni wakho.
Kuthiwani uma amanani embikweni ekhuphukile?
Uma amazinga akho e-amylase ne -lipase egazini ephakeme kunokujwayelekile, ikakhulukazi ngaphezu kokuphindwe kathathu okujwayelekile , kuyisibonakaliso esinamandla sokuthi une-pancreatitis noma omunye umonakalo ku-pancreas yakho.
- Izinga le-lipase eliphakeme liqondene ngqo nenkinga ye-pancreatic kunezinga le-amylase eliphakeme, njengoba i-enzyme i-amylase ngezinye izikhathi ingakhuphuka kancane ngezinye izizathu.
- Ubunzima besifo abunakunqunywa iqiniso lokuthi amanani akulolu hlolo lwegazi aphakanyisiwe. Udokotela uzokwenza isinqumo ngokusekelwe ezimpawu zakho, umlando wezokwelapha, kanye nalo mbiko.
- Ngezinye izikhathi, udokotela wakho angase ancome ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa. Isibonelo:
- Ukuskena nge-ultrasound
- Ukuskena kwe-CT
- I-M. R. I. Scan (i-MRI scan)
- Ukuhlolwa kwe-Endoscopy
Kufanele ngimbone nini udokotela?
Uma unezinhlungu zesisu ezinzima njengalezo okukhulunywe ngazo kulesi sihloko, bona udokotela wakho ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) . Ungalibali. Udokotela uzokubuza ngezimpawu zakho, akuhlole, futhi uma kudingeka, enze lezi zivivinyo zegazi nezinye izivivinyo ukuze anqume ukuthi yikuphi ukwelashwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi le-pancreas kuhlola kakhulu amazinga ama-enzyme abizwa ngokuthi i-amylase ne-lipase egazini.
- Ubuhlungu obukhulu besisu, isicanucanu, nokuhlanza kungaba yizimpawu eziyinhloko ezibonisa inkinga nge-pancreas.
- Uma amazinga ala ma-enzyme egazini, ikakhulukazi izinga le-lipase, ephakeme ngokuphindwe kathathu kunokuvamile, kunethuba elikhulu lokuthi kuyicala le-pancreatitis ebukhali.
- Ungalokothi ungazinaki izimpawu ezingathi sína. Bona udokotela wakho ngokushesha. Uzochaza kahle ukuthi umbiko usho ukuthini nokuthi yini okufanele uyenze ngokulandelayo.
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